{"title":"Coroner warns of \"multiple failures\" that contributed to child's death from asthma.","authors":"Clare Dyer","doi":"10.1136/bmj.q641","DOIUrl":"10.1136/bmj.q641","url":null,"abstract":"","PeriodicalId":93911,"journal":{"name":"BMJ (Clinical research ed.)","volume":"384 ","pages":"q641"},"PeriodicalIF":0.0,"publicationDate":"2024-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140121600","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"NHS staff to receive paid leave following pregnancy loss.","authors":"Abi Rimmer","doi":"10.1136/bmj.q638","DOIUrl":"10.1136/bmj.q638","url":null,"abstract":"","PeriodicalId":93911,"journal":{"name":"BMJ (Clinical research ed.)","volume":"384 ","pages":"q638"},"PeriodicalIF":0.0,"publicationDate":"2024-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140133496","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Homelessness is a public health emergency, report warns.","authors":"Jacqui Wise","doi":"10.1136/bmj.q632","DOIUrl":"10.1136/bmj.q632","url":null,"abstract":"","PeriodicalId":93911,"journal":{"name":"BMJ (Clinical research ed.)","volume":"384 ","pages":"q632"},"PeriodicalIF":0.0,"publicationDate":"2024-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140121602","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Musa Basseer Sami, David Shiers, Saqib Latif, Sagnik Bhattacharyya
{"title":"Early psychosis for the non-specialist doctor.","authors":"Musa Basseer Sami, David Shiers, Saqib Latif, Sagnik Bhattacharyya","doi":"10.1136/bmj.j4578","DOIUrl":"10.1136/bmj.j4578","url":null,"abstract":"","PeriodicalId":93911,"journal":{"name":"BMJ (Clinical research ed.)","volume":"357 ","pages":"j4578"},"PeriodicalIF":0.0,"publicationDate":"2017-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35236407","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A former editor of the British Journal of Diabetes who was found last April to have fabricated research data and forged the signatures of coauthors has been suspended from the UK medical register for four months. Paul Grant had been appointed editor in chief of Clinical Medicine , the journal of the Royal College of Physicians, when allegations surfaced of irregularities in five research papers he submitted. He never took up the post. Two of the papers were published and later retracted. The most serious allegations concerned a study of anxiety and depression in 350 patients with type 1 diabetes …
{"title":"Former editor who fabricated data is suspended for four months.","authors":"Clare Dyer","doi":"10.1136/bmj.j4537","DOIUrl":"https://doi.org/10.1136/bmj.j4537","url":null,"abstract":"A former editor of the British Journal of Diabetes who was found last April to have fabricated research data and forged the signatures of coauthors has been suspended from the UK medical register for four months.\u0000\u0000Paul Grant had been appointed editor in chief of Clinical Medicine , the journal of the Royal College of Physicians, when allegations surfaced of irregularities in five research papers he submitted. He never took up the post.\u0000\u0000Two of the papers were published and later retracted. The most serious allegations concerned a study of anxiety and depression in 350 patients with type 1 diabetes …","PeriodicalId":93911,"journal":{"name":"BMJ (Clinical research ed.)","volume":"358 ","pages":"j4537"},"PeriodicalIF":105.7,"publicationDate":"2017-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1136/bmj.j4537","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35401022","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A consultant cardiologist has been cleared of sexually assaulting three women during medical examinations at Lewisham Hospital in southeast London. Sumit Basu, 59, was acquitted at Woolwich Crown Court in London of seven charges of sexual assault and three charges of assault by penetration against the three women between 2006 and 2014. Allegations were first made to …
{"title":"Cardiologist is cleared of sexual assault charges.","authors":"Clare Dyer","doi":"10.1136/bmj.j4533","DOIUrl":"https://doi.org/10.1136/bmj.j4533","url":null,"abstract":"A consultant cardiologist has been cleared of sexually assaulting three women during medical examinations at Lewisham Hospital in southeast London.\u0000\u0000Sumit Basu, 59, was acquitted at Woolwich Crown Court in London of seven charges of sexual assault and three charges of assault by penetration against the three women between 2006 and 2014.\u0000\u0000Allegations were first made to …","PeriodicalId":93911,"journal":{"name":"BMJ (Clinical research ed.)","volume":"358 ","pages":"j4533"},"PeriodicalIF":105.7,"publicationDate":"2017-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1136/bmj.j4533","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35456472","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Seismic changes in the organisation, delivery, and funding of health and social care services have been underway since the secretary of state’s duty to provide key services throughout England was abolished by the Health and Social Care Act 2012. One of the acts’ major changes was to transfer public health responsibilities to local authorities—described as “one of the most significant extensions of local government powers and duties in a generation.” The Cities and Local Government Devolution Act 2016 allows further health functions to be devolved to local authorities. At the same time, NHS England is implementing sustainability and transformation plans (STPs) covering 44 geographical “footprints” in England. These have been reported to be required to cut 26bn (€29bn; $35bn) from health and social care costs over five years. STPs are intended to pool the budgets of health bodies and local authorities for joint commissioning of health and social care services, creating new organisational forms and care models, such as newly proposed accountable care organisations. The devolution deals and STPs are being presented to the public and health professionals as a way of integrating health and local authority social care. But missing from the picture is their fundamentally different funding bases: social care is a local authority responsibility and subject to means testing and user charges, whereas NHS services are free at the point of delivery. These changes are taking place while the NHS undergoes the largest sustained reduction in spending as a percentage of gross domestic product (GDP) since 1951, NHS providers have recorded their highest ever deficit, and there has been a 37% real terms reduction in local authority funding from central government grants from 2010 to 2016 (excluding public health and the Better Care Fund), alongside the ongoing radical and regressive reform of local government finance. How will these changes and reductions in funding affect access to care, equity, and already widening inequalities? Experience from the last major transfer of responsibilities from the NHS to local authorities suggests they are likely to lead to reduced services and entitlements, more private provision of publicly funded services and, potentially, the introduction of charges for health services. Effects on services and entitlements
{"title":"Are radical changes to health and social care paving the way for fewer services and new user charges?","authors":"","doi":"10.1136/bmj.j4531","DOIUrl":"https://doi.org/10.1136/bmj.j4531","url":null,"abstract":"Seismic changes in the organisation, delivery, and funding of health and social care services have been underway since the secretary of state’s duty to provide key services throughout England was abolished by the Health and Social Care Act 2012. One of the acts’ major changes was to transfer public health responsibilities to local authorities—described as “one of the most significant extensions of local government powers and duties in a generation.” The Cities and Local Government Devolution Act 2016 allows further health functions to be devolved to local authorities. At the same time, NHS England is implementing sustainability and transformation plans (STPs) covering 44 geographical “footprints” in England. These have been reported to be required to cut 26bn (€29bn; $35bn) from health and social care costs over five years. STPs are intended to pool the budgets of health bodies and local authorities for joint commissioning of health and social care services, creating new organisational forms and care models, such as newly proposed accountable care organisations. The devolution deals and STPs are being presented to the public and health professionals as a way of integrating health and local authority social care. But missing from the picture is their fundamentally different funding bases: social care is a local authority responsibility and subject to means testing and user charges, whereas NHS services are free at the point of delivery. These changes are taking place while the NHS undergoes the largest sustained reduction in spending as a percentage of gross domestic product (GDP) since 1951, NHS providers have recorded their highest ever deficit, and there has been a 37% real terms reduction in local authority funding from central government grants from 2010 to 2016 (excluding public health and the Better Care Fund), alongside the ongoing radical and regressive reform of local government finance. How will these changes and reductions in funding affect access to care, equity, and already widening inequalities? Experience from the last major transfer of responsibilities from the NHS to local authorities suggests they are likely to lead to reduced services and entitlements, more private provision of publicly funded services and, potentially, the introduction of charges for health services. Effects on services and entitlements","PeriodicalId":93911,"journal":{"name":"BMJ (Clinical research ed.)","volume":"358 ","pages":"j4531"},"PeriodicalIF":105.7,"publicationDate":"2017-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1136/bmj.j4531","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35401019","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Chris Ford, David Nutt, Niamh Eastwood, Deborah Gold, John Jolly, Fionnuala Murphy, Kate Halliday, Jamie Bridge
The UK government has published its 2017 drug strategy,12 and we are greatly concerned at the lack of focus on harm reduction—an evidence based response that protects people and saves lives—at a time when drug related deaths are the highest on record. The government acknowledges in the strategy that the rise in drug related deaths is “dramatic and …
{"title":"Is the UK's 2017 drug strategy fit for purpose?","authors":"Chris Ford, David Nutt, Niamh Eastwood, Deborah Gold, John Jolly, Fionnuala Murphy, Kate Halliday, Jamie Bridge","doi":"10.1136/bmj.j4405","DOIUrl":"https://doi.org/10.1136/bmj.j4405","url":null,"abstract":"The UK government has published its 2017 drug strategy,12 and we are greatly concerned at the lack of focus on harm reduction—an evidence based response that protects people and saves lives—at a time when drug related deaths are the highest on record. The government acknowledges in the strategy that the rise in drug related deaths is “dramatic and …","PeriodicalId":93911,"journal":{"name":"BMJ (Clinical research ed.)","volume":"358 ","pages":"j4405"},"PeriodicalIF":105.7,"publicationDate":"2017-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1136/bmj.j4405","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35402127","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The UK government’s drug strategy for 2017 effectively announces the end of community substance misuse services.1 The grant from Public Health England to local authorities to commission these services is labelled as being “ring fenced.” But when local authorities are not legally required to provide services, ring fencing seems to disappear, and funding cuts of a …
{"title":"Bleak outlook for community substance misuse services.","authors":"Joss Bray","doi":"10.1136/bmj.j4403","DOIUrl":"https://doi.org/10.1136/bmj.j4403","url":null,"abstract":"The UK government’s drug strategy for 2017 effectively announces the end of community substance misuse services.1 The grant from Public Health England to local authorities to commission these services is labelled as being “ring fenced.” But when local authorities are not legally required to provide services, ring fencing seems to disappear, and funding cuts of a …","PeriodicalId":93911,"journal":{"name":"BMJ (Clinical research ed.)","volume":"358 ","pages":"j4403"},"PeriodicalIF":105.7,"publicationDate":"2017-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1136/bmj.j4403","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35456491","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The UK government’s drug strategy for 2017 targets the threats of new types of drug misuse,12 which include psychoactive substances, image and performance enhancing drugs, “chemsex” drugs, and misuse of prescribed drugs. But resources to implement the suggested partnerships with local services and sufficient funding for harm reduction, drug education, and mental health services …
{"title":"UK's new drug strategy ignores social and cultural contexts.","authors":"Marco Scalvini","doi":"10.1136/bmj.j4404","DOIUrl":"https://doi.org/10.1136/bmj.j4404","url":null,"abstract":"The UK government’s drug strategy for 2017 targets the threats of new types of drug misuse,12 which include psychoactive substances, image and performance enhancing drugs, “chemsex” drugs, and misuse of prescribed drugs. But resources to implement the suggested partnerships with local services and sufficient funding for harm reduction, drug education, and mental health services …","PeriodicalId":93911,"journal":{"name":"BMJ (Clinical research ed.)","volume":"358 ","pages":"j4404"},"PeriodicalIF":105.7,"publicationDate":"2017-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1136/bmj.j4404","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35559603","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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